SEONG-JU KIM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

NOT RENEWED

Business

First Name

SEONG-JU

Last Name

KIM

Suffix

DDS

Business Name

SEONG-JU KIM DDS

Original Issue Date

12/09/1999

Effective Date

12/09/1999

Expiration Date

09/30/2000

City

PEORIA

State

Zip

61614

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005